Longwood Dental Group

LBN: Longwood Dental Group
Longwood Dental Group is an health care organization with primary practice located at 1842 Beacon St , Brookline MA 02445-1930. The organization recently has 8 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics, Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Periodontics, Dental Providers / Prosthodontics, Dental Providers / Dental Hygienist, Dental Providers / Dental Assistant, Dental Providers / Dental Laboratory Technician. Dental Providers / Dentist is the primary health care specialty. Longwood Dental Group can be contacted via phone (617) 566-5445, or through Kiladjian, Berdj via phone (617) 566-5445.

Contact Information

Primary practice address
1842 Beacon St Brookline MA 02445-1930
Phone: (617) 566-5445
Fax: (617) 730-8482
Website:
Map and Directions
Authorized official contact:
Name: Kiladjian, Berdj Doctor of Dental Medicine (DMD)
Phone: (617) 566-5445

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Massachusetts
Dental Providers / Endodontics 1223E0200X Massachusetts
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X Massachusetts
Dental Providers / Periodontics 1223P0300X Massachusetts
Dental Providers / Prosthodontics 1223P0700X
Dental Providers / Dental Hygienist 124Q00000X Massachusetts
Dental Providers / Dental Assistant 126800000X Massachusetts
Dental Providers / Dental Laboratory Technician 126900000X Massachusetts

Profile Details

NPI number 1033233713
LBN Legal business name Longwood Dental Group
DBA Doing business as
Authorized official Kiladjian, Berdj Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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